Individual provider Active NPI

Jiahui Tan, L.AC.

  • Acupuncturist
  • San Jose, CA
National Provider Identifier
1235500448
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 16738 Issued in CA
Practice address
2571 N 1St St
San Jose, CA 95131-1003
Phone
(408) 577-1888
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 16738 CA Primary

Addresses

Primary practice location

2571 N 1St St
San Jose, CA 95131-1003

Mailing address

1302 Grosventres CT
Fremont, CA 94539-6704
Phone (510) 586-8876

Other identifiers 1

IdentifierTypeStateIssuer
AC 16738OtherCACALIFORNIA LICENSED ACUPUNCTURIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 16738CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
JB Abel Health Center Inc Current Accepting new patients
Tans Health and Acupuncture Inc Acupuncturist Current Accepting new patients

Locations

212 N Abel St
Milpitas, CA 95035
Phone (408) 791-6779

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1235500448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 GROSVENTRES CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396704",
            "telephone_number": "510-586-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311003",
            "telephone_number": "408-577-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JIAHUI",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 16738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSED ACUPUNCTURIST",
            "identifier": "AC 16738",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.